| NPI | 1487896254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301092702) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301092702) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2021-03-26 |