| NPI | 1386961696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 006750) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125058749) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 258894) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2016-02-29 |