| NPI | 1407243611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 62046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 307428) |
| 207R00000X Internal Medicine (Licence: TN 62046) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2022-03-22 |