NPI | 1164716023 |
---|---|
Former Name | LAURA DREWENCKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL33665) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD453731) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2019-06-24 |