| NPI | 1962089250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 80221) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CT 80221) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64480) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-06-30 |