NPI | 1457849598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OH 35.144664) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238501) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-07-26 |