| NPI | 1477086213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A162637) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2022-01-07 |