| NPI | 1639370018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A103656) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2004016368) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 60051) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-11-30 |