| NPI | 1164981056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA 330272) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: LA 330272) | |
| 208000000X Pediatrics (Licence: LA 330272) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-07-10 |