| NPI | 1699204321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A167331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A167331) |
| 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA A167331) | |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: CA A167331) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-01-08 |