| NPI | 1265676795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 19016) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 049305) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 160835) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2019-05-23 |