NPI | 1053931048 |
---|---|
Former Name | SONJA MARIE RANKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.017315) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02006461A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-20 |
Last Update Date | 2024-06-04 |