| NPI | 1265673263 |
|---|---|
| Former Name | MICHELLE HORNBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 55237) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2018-06-19 |