NPI | 1144614504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MI 4301504716) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 278491) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2024-03-26 |