| NPI | 1376187781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX BP10076928) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX U7664) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-03-12 |