| NPI | 1164918751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 009998) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 6791) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 0274R) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-07-18 |