| NPI | 1174143549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 85644) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 69816) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 57.249873) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 31496) | |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2025-09-05 |