| NPI | 1750822003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 273100000X Epilepsy Unit (Licence: PA MT228532) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2023-06-26 |