| NPI | 1629027495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60402151) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 50255-20) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 50255) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1020-TEP) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-12-03 |