| NPI | 1043501794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 283505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199084) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199084) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2021-04-02 |