| NPI | 1316579527 |
|---|---|
| Former Name | RENAE KLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-1856) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID PA-1856) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2023-08-11 |