| NPI | 1326452434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 61178) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 27050) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV 27050) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2019-05-08 |