| NPI | 1548273303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 54583) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 56395) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 256830) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2025-03-18 |