NPI | 1881973428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 69372) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 10094) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MN pending) | |
Enumeration Date | 2011-08-14 |
Last Update Date | 2023-11-01 |