| NPI | 1184695348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD444147) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 010237316) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL MD.28209) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2012-01-12 |