| NPI | 1225293749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 049930) |
| Additional Taxonomies | 2084P0805X (Licence: CT 049930) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2023-05-18 |