| NPI | 1396309670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 14827) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: SD 14827) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2024-06-28 |