NPI | 1730640467 |
---|---|
Former Name | JESSICA JOY PATRIZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 76108) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2023-09-20 |