| NPI | 1821675653 |
|---|---|
| Former Name | FAUN LEE BOTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV LL3627) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-01-28 |