NPI | 1548402811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD175459) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA A114185) | |
Enumeration Date | 2009-04-01 |
Last Update Date | 2016-01-11 |