NPI | 1528520335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.158217) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.073986) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036.158217) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-03-11 |