NPI | 1154612901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA11894600) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63127) |
Enumeration Date | 2011-04-27 |
Last Update Date | 2024-08-14 |