| NPI | 1396009742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 055144) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301100923) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 055143) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 55124) | |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2024-05-10 |