NPI | 1043748056 |
---|---|
Former Name | SARA LYNN POIRIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01085063A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019312A) |
Enumeration Date | 2017-06-03 |
Last Update Date | 2021-11-30 |