| NPI | 1982163978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 32753) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-12-06 |