| NPI | 1528348281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD17141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099272) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 77361) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301099272) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2021-04-22 |