NPI | 1457747230 |
---|---|
Former Name | KAITLIN MARIE BUDNIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0086490) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-08 |
Last Update Date | 2019-03-22 |