NPI | 1750919338 |
---|---|
Former Name | SHENA ORELLANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME158634) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25IA12744900) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0028344) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101286773) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-09-15 |