NPI | 1912526948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A176652) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A176652) |
208D00000X General Practice (Licence: CA 3288) | |
174400000X Specialist | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-09 |
Last Update Date | 2024-05-01 |