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 |