| NPI | 1194461053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 2ma12607400) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-11-25 |