| NPI | 1427311349 |
|---|---|
| Former Name | EMILY MAE WILLMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 261129) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 252335) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2016-02-01 |