| NPI | 1619270576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX Q1908) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0037509) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX Q1908) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2016-01-04 |