| NPI | 1639487036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 83158) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0079377) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD475758) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2023-09-29 |