NPI | 1437504602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 65610) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 304228) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 218104) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2022-08-24 |