| NPI | 1346738127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 071907) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 274937) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 68165) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2022-12-05 |