| NPI | 1609922210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: TX P7254) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A112788) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TX P7254) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1959) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-07-17 |