| NPI | 1568201580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 80287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34314) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2025-09-18 |