| NPI | 1376000372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 23345) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2023-12-15 |