| NPI | 1619443728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 93536) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME149581) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN27866) | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2023-11-06 |