NPI | 1114238680 |
---|---|
Former Name | ELAINE FELICIA GOULD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036.144845) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 51827) |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: WI 68608-21) | |
Enumeration Date | 2010-06-29 |
Last Update Date | 2018-04-09 |