NPI | 1497945489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60688873) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD13746) | |
Enumeration Date | 2007-07-26 |
Last Update Date | 2016-11-17 |