| NPI | 1912239815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 300453) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 300453) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2020-08-13 |