| NPI | 1992700280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G85819) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 00G85819) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-06-03 |