NPI | 1467803585 |
---|---|
Former Name | ABIGAIL MARIE FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 306904) |
Additional Taxonomies | 208D00000X General Practice (Licence: IA MD-45386) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-30 |
Last Update Date | 2023-11-14 |