| NPI | 1578685723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NM MD-2013-0067) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 51623) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2013-0067) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-07-14 |