| NPI | 1720255367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 58332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58332) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2020-11-10 |