| NPI | 1114422490 |
|---|---|
| Former Name | ALLISON HART SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 65800) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: MN 65800) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-07-27 |