NPI | 1609175876 |
---|---|
Former Name | ANNA TERAJEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 247939) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 259075) |
Enumeration Date | 2011-03-27 |
Last Update Date | 2018-11-16 |