| 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 |