NPI | 1083713192 |
---|---|
Former Name | LYUDMILA VASILIEVNA LIVINGSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX TEMPORARY) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX TEMPORARY) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2009-11-20 |