| NPI | 1336326180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 266245) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 266245) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2023-07-07 |