NPI | 1134516594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: SC 84668) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 84668) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2021-06-23 |