| NPI | 1568155463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC RTL24-0464) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2024-06-04 |