| NPI | 1700014933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 142054) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 7647) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2024-03-20 |