| NPI | 1770802779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 271354) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY R2817) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY FS3394195) | |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2015-06-30 |