| NPI | 1578191938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 7398) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OK 7398) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 7398) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-07-27 |