NPI | 1093072555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-147027) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.124402) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-20 |
Last Update Date | 2023-06-09 |