NPI | 1790213403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 64124) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 28968) |
Enumeration Date | 2017-05-24 |
Last Update Date | 2023-07-25 |