| NPI | 1174182976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301509222) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351044779) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351044779) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2026-03-16 |