| NPI | 1639665771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 75858) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301506558) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114646) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-06-19 |