| NPI | 1346778198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.144426) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S3083) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT MED-PHYS-LIC-113301) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10061213) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2022-08-09 |