| NPI | 1861252124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 80570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34434) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2025-08-28 |