| NPI | 1255992251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA FK3063132) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD220852) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351044750) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2024-09-17 |