| NPI | 1306078118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C154032) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 55932) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 94-07296) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2021-08-20 |