| NPI | 1215592381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301511067) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 71285) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 91788) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1006319) | |
| Enumeration Date | 2019-05-04 |
| Last Update Date | 2024-09-11 |