| NPI | 1649652983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 01084143A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01084143A) |
| 208000000X Pediatrics (Licence: KY R3873) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IN 01084143A) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: KY R3873) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2021-05-10 |