| NPI | 1942651062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: RI MD18446) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 6350-851) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 68740-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 1.056662-RES) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2022-04-26 |