| NPI | 1073990743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 57421) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: AZ 57421) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2026-09-02 |