| NPI | 1952899288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 65964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29234) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 29234) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-01-16 |