| NPI | 1417354903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD463845) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD463845) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 128879) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2021-02-22 |