NPI | 1265896195 |
---|---|
Former Name | DAJONITTA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX r9318) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD216368) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 20444) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61463905) | |
Enumeration Date | 2016-04-06 |
Last Update Date | 2025-01-14 |