| NPI | 1891268884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: WA PA61090865) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MA061117) |
| 207Q00000X Family Medicine (Licence: WA PA61090865) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2022-12-09 |