NPI | 1447817796 |
---|---|
Former Name | MEGHAN AMBERLY BISBEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301508863) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-05-22 |
Last Update Date | 2023-11-14 |