| NPI | 1225226301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A117162) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 105423) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 54644) | |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2017-01-31 |