| NPI | 1134443039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 253393) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 253393) | |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2015-04-11 |