| NPI | 1427346303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME156441) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22710) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 111990) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09254600) | |
| 282N00000X General Acute Care Hospital (Licence: NJ 25MA09254600) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2023-12-13 |