| NPI | 1659412534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: IL 036162210) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301091576) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301091576) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-11-02 |