| NPI | 1689292260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 93230) |
| Additional Taxonomies | 2084N0600X (Licence: SC 93230) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2025-07-22 |