| NPI | 1013545714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB12770300) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-01522) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2024-01522) | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2026-09-21 |