NPI | 1124555925 |
---|---|
Former Name | LEIGH JOAN BOGHOSSIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA 1124555925) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2018-08-28 |