| NPI | 1386083368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ R73842) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM NM2017-0776) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NM MD2017-0776) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R73842) | |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2018-05-21 |