NPI | 1023251055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NM MD2012-0137) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM MD2012-0137) | |
Enumeration Date | 2009-04-06 |
Last Update Date | 2016-03-31 |