NPI | 1912135104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 20A11802) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084N0400X Psychiatry & Neurology Neurology (Licence: TN DO2526) | |
Enumeration Date | 2009-06-25 |
Last Update Date | 2016-06-10 |