NPI | 1326218157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 68209) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 37671) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2021-03-15 |