NPI | 1083146807 |
---|---|
Former Name | BROOK MEHREGANY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 60203) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A174897) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 60203) | |
Enumeration Date | 2017-03-30 |
Last Update Date | 2022-05-31 |