NPI | 1366401838 |
---|---|
Former Name | DONA ATHEY DENTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX L7444) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101255121) |
207R00000X Internal Medicine (Licence: TX L7444) | |
Enumeration Date | 2006-03-22 |
Last Update Date | 2020-10-18 |