| NPI | 1598294480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U0450) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 304728) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY P05888) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-05-08 |