| NPI | 1861855975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD465085) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MT210583) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT210583) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2021-07-14 |