| NPI | 1366838963 |
|---|---|
| Former Name | LAURA HENKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-43730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-43730) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-11-05 |