| NPI | 1437543907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U8595) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 297200) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11341800) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.136905) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-01-30 |