| NPI | 1902251820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: NV 23182) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 23182) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NH 20553) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-04-21 |