| NPI | 1790292100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME160110) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A167612) |
| 208M00000X Hospitalist (Licence: FL ME160110) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61579822) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD221781) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2025-06-13 |