NPI | 1417335662 |
---|---|
Former Name | JENNIFER RACHEL SALVADOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD193160) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-08 |
Last Update Date | 2021-02-15 |