NPI | 1861075517 |
---|---|
Former Name | CHRISTINA BULLEIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A23785) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS22011) |
Enumeration Date | 2021-04-30 |
Last Update Date | 2025-09-19 |