| NPI | 1417301912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO216918) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 12762245-1204) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AK 7205810) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2023-09-18 |