| NPI | 1942860283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD479958) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MT217982) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT217982) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-03-13 |