| NPI | 1790292100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CA A167612) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME160110) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2023-02-03 |