| NPI | 1669227856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2025-02883) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC SCHE-9VAZPR) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-08-14 |