| NPI | 1942798913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 317170) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 317170) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2025-08-05 |