NPI | 1780066621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D85348) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC MD046326) |
Enumeration Date | 2015-06-28 |
Last Update Date | 2020-12-31 |