NPI | 1619357548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MD D0087008) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 264305) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2020-10-22 |