| NPI | 1902425549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD29790) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 348635) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101286702) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD227077) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD70036156) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-09-18 |