| NPI | 1629289319 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25IA12288500) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.203952) | 
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD041533) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-24 | 
| Last Update Date | 2025-01-23 |