| NPI | 1659532265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 55338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 70803) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 1395) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 55338) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-03-03 |