NPI | 1407353881 |
---|---|
Former Name | JENNIFER OBRZYDOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01083997A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11020179A) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2024-04-03 |