| NPI | 1346530359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 73672) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT198794) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT198794) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD449307) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2015-06-25 |