| NPI | 1639675382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 75057) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME164819) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD18331) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-10-16 |