NPI | 1326541251 |
---|---|
Former Name | DILYS ANDINWO FOHTUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10877800) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 311733) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T6330) | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NJ 25MA10877800) | |
Enumeration Date | 2018-03-16 |
Last Update Date | 2024-05-03 |