NPI | 1932441060 |
---|---|
Former Name | PAMELA SUSAN KRAJEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 270898) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-03-27 |
Last Update Date | 2017-12-08 |