NPI | 1063684470 |
---|---|
Former Name | LUCY ELIZABETH DEMERJIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 050546) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 225617) |
Enumeration Date | 2008-03-25 |
Last Update Date | 2022-11-01 |