| NPI | 1508386384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME DO3394) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 272001) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 272001) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-11-10 |