NPI | 1316066004 |
---|---|
Former Name | ELIZABETH ANNE STOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 51338-020) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2006020990) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2013-02-08 |