NPI | 1396139366 |
---|---|
Former Name | HOLLY N STOUTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: AR E-11412) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E-11412) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2022-09-29 |