| NPI | 1033505821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME157171) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 66814) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 5702) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 66814) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 56095) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 282366) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-06-16 |