| NPI | 1750836854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025009550) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020019529) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2025-06-30 |