| NPI | 1326393695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 30734) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD203710) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A142041) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10043519) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2021-06-03 |