| NPI | 1982353884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 188881) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A188881) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2025-07-22 |