NPI | 1144293770 |
---|---|
Former Name | CANDACE JEAN RIEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD073835L) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD073835L) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2019-11-21 |