| NPI | 1316109697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 57731) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 52428) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MN 57731) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2022-05-18 |