NPI | 1346408556 |
---|---|
Former Name | ERIKA U FULLWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 218168) |
Enumeration Date | 2008-05-26 |
Last Update Date | 2012-06-05 |