| NPI | 1487996716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D85474) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 287174) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MD D0085474) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CT 64019) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-03-21 |