| NPI | 1982946927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60776456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60362030) |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2021-12-20 |