| NPI | 1891750717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 13912) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 13912) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NH 13912) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH RT-3292) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-09-06 |