| NPI | 1700316056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0070118) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD203730) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301112045) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-07-31 |