| NPI | 1902301500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 9326) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY R4949) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY R4949) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-09-21 |