| NPI | 1629573803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 65926) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 29207) |
| 207R00000X Internal Medicine (Licence: MN 29207) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-11-06 |