NPI | 1164868469 |
---|---|
Former Name | KIRA MARIE FRIEDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 55739) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: VA 101265154) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2020-08-13 |