NPI | 1811571524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V7849) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME165371) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 32763) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-05-09 |
Last Update Date | 2025-06-16 |