NPI | 1265650667 |
---|---|
Former Name | ELIZABETH KOWAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301106410) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01070813A) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301106410) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2023-09-28 |