| NPI | 1023495090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 30133) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0071255) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD217357) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 324257) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 57.026539) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-04-15 |