| NPI | 1952711749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: KS 04-50727) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-50727) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023022545) | |
| 2084N0600X (Licence: MO 2023022545) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2025-06-06 |