| NPI | 1568623213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WV 26323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 26323) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 26323) | |
| 208M00000X Hospitalist (Licence: VA 0101255730) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2022-04-06 |