NPI | 1184287815 |
---|---|
Former Name | ANDREA ELIZABETH EADES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-16616) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 251180) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2023-09-12 |