| NPI | 1811321557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A129817) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A129817) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2021-01-20 |