| NPI | 1194752576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M4715) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX BP10023295) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME DO2515) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 054073) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-02-23 |