| NPI | 1306428917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 27636) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: R78590) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-07-11 |