| NPI | 1205037595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C179643) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301089622) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036126170) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301089622) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-05-23 |