| NPI | 1508006776 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2014-01279)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.010814)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-02 | 
| Last Update Date | 2021-09-20 |