NPI | 1134570401 |
---|---|
Former Name | EMILY WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2018008648) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2016022415) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2021-01-12 |