| NPI | 1063868677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S7709) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD476238) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21922) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021047087) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2023-08-29 |