| NPI | 1427436450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 210567) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 210567) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116032515) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-04-07 |