| NPI | 1154957165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NC 2024-00780) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 322556) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2024-09-20 |