| NPI | 1487232344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD600003863) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101290451) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0103597) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-08-25 |