| NPI | 1659868370 |
|---|---|
| Former Name | SHAKIRA ALICIA EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 240176) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME159693) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2022-12-15 |