| NPI | 1205004108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A107900) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A107900) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2022-08-12 |