| NPI | 1295020808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2017021719) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2017021719) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 94-07719) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2020-03-25 |