| NPI | 1760680615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 51177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9406791) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 103887) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-18 |