NPI | 1598386278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0100939) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 261569) |
Enumeration Date | 2020-05-04 |
Last Update Date | 2025-07-28 |