NPI | 1285193300 |
---|---|
Former Name | SALLY REBECCA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 96257) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2023-08-07 |