| NPI | 1871098632 |
|---|---|
| Other Name | ELISE SHIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U1134) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2020022478) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-12-05 |