| NPI | 1831594357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD466051) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: PA FA7998024) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NE 7564) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2024-04-03 |