| NPI | 1760019624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: WA 61549669) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-07-01 |