| NPI | 1164981056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-17907) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 330272) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 330272) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 330272) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-11-05 |