NPI | 1386854107 |
---|---|
Other Name | LANE ELIZABETH TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 047886) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R890) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2013-07-17 |