| NPI | 1245554708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 268554) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH Not applicable) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2016-09-23 |