| NPI | 1144481425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD456569) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301092668) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092668) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2017-04-19 |