| NPI | 1982232260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 69695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30912) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2021-07-14 |