| NPI | 1558981761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 337615) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: VT 032.0134266) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2025-09-02 |