| NPI | 1932590965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036152171) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2021-00913) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.152171) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2021-07-09 |