| NPI | 1487158986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A165074) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A165074) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: A165074) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2021-04-23 |