NPI | 1386140291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 326954) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 316852) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-01 |
Last Update Date | 2024-10-15 |