| NPI | 1790977106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101225476) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 239046) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 239046) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 201000287) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2014-10-02 |