| NPI | 1578138491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 336.132897) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI CLP05237) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2026-06-29 |