| NPI | 1508443367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2025-00792) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD481624) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT223591) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-06-16 |