| NPI | 1154784098 |
|---|---|
| Former Name | EILEEN HUTTLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 77714) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 267399) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 278696) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2025-11-24 |