NPI | 1083783682 |
---|---|
Former Name | BARBARA FRIEDMAN FORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD170885) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G34306) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2015-11-03 |