| NPI | 1174186837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61517724) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: student) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-10-26 |