| NPI | 1881045433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA OP61170867) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 63293) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 63293) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT017292) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-07-20 |