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 |