| NPI | 1780189936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 71276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 00000) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-06-07 |