NPI | 1245252303 |
---|---|
Former Name | MARY CAROLYN BARTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036159744) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2006012798) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1917) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101268496) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-05-24 |