| NPI | 1295997377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME130062) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD452124) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D0074350) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: DC MD040812) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-12-27 |