NPI | 1144898180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A200710) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 289112) |
Enumeration Date | 2021-06-16 |
Last Update Date | 2025-06-25 |