| NPI | 1477843621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 25104) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101270532) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 0000062692) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY C0055) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D90606) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2020-12-28 |