NPI | 1538781588 |
---|---|
Former Name | MADISEN JANSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.017197) |
Enumeration Date | 2020-05-13 |
Last Update Date | 2024-04-29 |