| NPI | 1174985105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PR 21297) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 21297) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 33736-R) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-05-07 |