| NPI | 1053873430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IA MD-54808) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA MD-54808) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA R-12540) | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-05-05 |