| NPI | 1336502616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 175414) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 300887) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.159616) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 279287) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2022-09-26 |