| NPI | 1487180592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.145396) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME156769) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD477914) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 1.069025) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2022-06-29 |