NPI | 1326603739 |
---|---|
Former Name | THERESA A FIAGBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 15249) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2023-07-05 |