| NPI | 1730541228 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CT 72374)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME145008)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 72374)  | |
| Enumeration Date | 2016-03-23 | 
| Last Update Date | 2025-09-15 |