NPI | 1306136726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A129062) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A129062) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-19 |
Last Update Date | 2018-03-17 |