| NPI | 1467612036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 47407) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA md.205173) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX p5236) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-13965) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 079301) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2018-01-26 |