| NPI | 1568779254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME170989) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.152071) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY N/A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 272909) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 284390) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2024-10-31 |