| NPI | 1083904023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C207801) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 340771) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD14982) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2017-0648) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2026-07-15 |