NPI | 1558940015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 1022564) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC NEWM-GWLZGX) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-02 |
Last Update Date | 2025-05-21 |