| NPI | 1023244514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.121490) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301093834) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301093834) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2013-07-09 |