NPI | 1104455872 |
---|---|
Former Name | TAYLOR M. CROSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 12499107-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 12499107-1205) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 12499107-1205) | |
Enumeration Date | 2020-04-05 |
Last Update Date | 2021-10-04 |