| NPI | 1962699736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301500667) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5601005162) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2022-07-21 |