| NPI | 1205452356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301512371) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: MA 1027419) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 1027419) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351045918) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-06-18 |