| NPI | 1790941318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 45133) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: KY 45133) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2023-03-29 |