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 |