| NPI | 1699076224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: UT 6049229-1205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 6049229-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2021-11-11 |