NPI | 1437449667 |
---|---|
Former Name | PATRICIA LEIGH HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DE C1-0010935) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MT199714) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-08 |
Last Update Date | 2023-02-02 |