| NPI | 1962030791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-144230) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-07-25 |