NPI | 1255742227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME163215) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME163215) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD465405) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025039493) | |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61549814) | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2025-10-02 |