| NPI | 1235192709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MN 384144) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 38414) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2021-01-19 |