| NPI | 1881259695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: WV 30661) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT232144) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-07-05 |