| NPI | 1750886347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 310373) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64086) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-06-08 |