| NPI | 1154801454 |
|---|---|
| Former Name | ANGELA KAYE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA RN195293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN APN24474) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: TN APN24474) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-04-04 |