NPI | 1336368232 |
---|---|
Former Name | LUCRECIA SCRIVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 100242) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023038540) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2024-04-22 |