| NPI | 1922539600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01088622A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 56303) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301507125) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME157200) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-12-01 |