| 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 |