| NPI | 1306475686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 69677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30809) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-07-21 |