| NPI | 1184880783 |
|---|---|
| Former Name | COURTNEY LYNN BONNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 0000058990) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2010015938) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2008015976) | |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2024-01-18 |