| NPI | 1962939124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 316861) |
| Additional Taxonomies | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: NY 316861) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-07-25 |