| NPI | 1447773445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101272280) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD18429) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116030807) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2025-07-29 |