| 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 |