| NPI | 1336111855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 47827) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 47827) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-08-21 |