| 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 |