| NPI | 1467223438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 34059) |
| Additional Taxonomies | 2084N0600X (Licence: MI 4351052052) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-09-09 |