| NPI | 1760665327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2011-00990) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2020-0977) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NM MD2020-0977) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 2011-00990) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2024-01-04 |