NPI | 1003174376 |
---|---|
Former Name | REBECCA ANNE WEHRLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 20563) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 82053) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q7983) | |
Enumeration Date | 2012-04-24 |
Last Update Date | 2020-09-02 |