| NPI | 1972652832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A24684) |
| Additional Taxonomies | 2084N0600X (Licence: CA 20A24684) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2026-04-14 |