| NPI | 1619597820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 1023496) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.076750) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD486879) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2025-06-20 |