NPI | 1740663574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NM MD2020) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 72245) |
2084N0400X Psychiatry & Neurology Neurology (Licence: MN 65616) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT208059) | |
Enumeration Date | 2015-06-29 |
Last Update Date | 2024-02-14 |