NPI | 1972155513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 73275) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 280987) |
Enumeration Date | 2019-07-14 |
Last Update Date | 2023-10-25 |