| NPI | 1225448293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A140392) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA a140392) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2024-07-22 |