NPI | 1083974943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R3787) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 565419) |
Enumeration Date | 2012-05-24 |
Last Update Date | 2018-11-09 |