| NPI | 1649859604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK A183838) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A183838) |
| 208D00000X General Practice (Licence: CA A183838) | |
| 174400000X Specialist (Licence: CA 174400000X) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-04-18 |