| NPI | 1326508375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 67707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29997) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2020-08-24 |