NPI | 1578190393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 000000000000) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 000000000000) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023015284) | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2024-02-21 |