NPI | 1508360090 |
---|---|
Former Name | BROOKE ERIN MCDOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A178028) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-20 |
Last Update Date | 2023-10-14 |