| NPI | 1093338055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 174400000X Specialist |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL2063) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-06-28 |