NPI | 1932661469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 180499) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD215962) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-03 |
Last Update Date | 2024-08-05 |