| NPI | 1306376405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 68921) |
| Additional Taxonomies | 2084E0001X (Licence: NC 2023-01020) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-01-10 |