| NPI | 1427614692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 202505419) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME165433) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 323713) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2026-05-06 |