NPI | 1689068058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: PA Md475501) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63570) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2022-04-07 |