| NPI | 1588942114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 054500) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 054500) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301098415) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098415) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2022-09-08 |