| 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 |