| NPI | 1982636122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A7974) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV DO1941) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA OP61003467) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-07-12 |