| NPI | 1740786631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: ID O-1968) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OR DO209500) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2024-05-30 |