| NPI | 1871811968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A130658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197396) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197396) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-08-19 |