| NPI | 1356637888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 87533) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301506917) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101258606) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2025-11-14 |