| NPI | 1689791329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 047700) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CT 047700) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301083078) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-10-20 |