NPI | 1598080327 |
---|---|
Former Name | ERIKA BETH STAGEBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 16265) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-04-05 |
Last Update Date | 2020-05-08 |