| NPI | 1134354764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SD 9619) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SD SDTP22) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2017-07-31 |