| NPI | 1629289319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 81366) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD041533) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25IA12288500) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.203952) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2026-02-19 |