| NPI | 1003041500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101256838) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT195449) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MT195449) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195449) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2020-01-24 |