NPI | 1699125088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 30761) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 22807119) |
207R00000X Internal Medicine (Licence: WV 30761) | |
Enumeration Date | 2016-06-15 |
Last Update Date | 2021-10-18 |