| NPI | 1073592259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 47765) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 28159) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 46916) | |
| 208D00000X General Practice (Licence: MN 47765) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2021-05-13 |