| NPI | 1114381753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NM MD2020-0811) |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2023-11-14 |