NPI | 1700229655 |
---|---|
Former Name | CAITLIN ANN REXSES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0056198) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R1797) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-10 |
Last Update Date | 2022-07-22 |