| NPI | 1770801730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD446611) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT197365) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197365) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2019-02-22 |