NPI | 1568779254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 284390) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY N/A) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 272909) | |
Enumeration Date | 2010-09-02 |
Last Update Date | 2019-07-11 |