NPI | 1033229810 |
---|---|
Former Name | ERICA L WHITMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0036027) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 36027) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-12-03 |