NPI | 1285384404 |
---|---|
Former Name | ALISON KATHERINE MAUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 74768) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 32501) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-07-17 |