| NPI | 1679139687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 68961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30040) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-01-22 |