| NPI | 1356911713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD488451) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT222375) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA FM5126265) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2026-03-27 |