| NPI | 1972276525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 125.086992) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 8992-851) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2025-08-12 |