| NPI | 1306401674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102207998) |
| Additional Taxonomies | 2084P0805X (Licence: CT 75510) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084P0805X (Licence: VA 0102207998) | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2025-08-22 |