| NPI | 1194967216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121115) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A157950) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2022-1226) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH OH-120592) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2024-10-02 |