| 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 |