| NPI | 1265748685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL 157534) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY AC4187868348) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2022-06-23 |