NPI | 1124210968 |
---|---|
Former Name | MOLLY CHRISTIANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 235420) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: RI MD13088) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2017-04-06 |