| NPI | 1538591953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 59306) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN xxxxxxx) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2020-08-11 |