| NPI | 1023313418 |
|---|---|
| Former Name | SHARON GRUNDLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 269009) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: NY 269009) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2015-04-14 |