NPI | 1144684366 |
---|---|
Former Name | ANNA CATHERINE BROSIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60965683) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2020-05-08 |