| NPI | 1679323703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 14730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 14730) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2025-05-20 |