| NPI | 1124276886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 27486) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME 110205) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN11596) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2021-02-19 |