NPI | 1003952029 |
---|---|
Former Name | ANNA BASKINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME120241) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 48308) |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MD D0064199) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2019-07-29 |