| NPI | 1174010771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A17912) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX W7103) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2026-07-09 |