NPI | 1154594273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS017109) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB08474800) | |
Enumeration Date | 2008-04-09 |
Last Update Date | 2014-05-22 |