| NPI | 1972987766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 311906-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7440) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 7440) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 62484) | |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2021-11-09 |