NPI | 1073958674 |
---|---|
Former Name | AMANDA PAIGE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 276646) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 276646) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2023-10-06 |