| NPI | 1548494289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q4528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q4528) |
| 207R00000X Internal Medicine (Licence: PA MT194906) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 62893) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194906) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2022-03-29 |