NPI | 1164050605 |
---|---|
Former Name | ANNIE ROSE CAVALIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME167972) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024041782) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD220231) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.150592) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61556135) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-02-13 |