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 |