NPI | 1083798060 |
---|---|
Former Name | OPAL E. THORNTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: DC MD042343) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC 042343) |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A48065) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2022-02-04 |