NPI | 1942829288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD485227) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC RTL200973) | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2024-05-31 |