| NPI | 1952798860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 203448) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 32702857) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S2158) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-01-12 |