NPI | 1013207067 |
---|---|
Former Name | HILJA REBECCA TERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35 123856) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.123856) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2016-09-09 |