| NPI | 1649807884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 60464) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: KY 60464) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.149949) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: OH 35.149949) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-04-08 |