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 |