| NPI | 1033640164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A158427) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR 213705) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-01-06 |