| NPI | 1831323294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A125892) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT195250) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195250) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2014-01-13 |