NPI | 1326562257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 99477) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024039224) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A188606) | |
390200000X Student in an Organized Health Care Education/Training Program | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35C.001824) | |
Enumeration Date | 2017-08-02 |
Last Update Date | 2024-10-29 |