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 |