NPI | 1396847026 |
---|---|
Former Name | SUSAN J HATTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35-082027) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: OH 35-082027) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2021-01-12 |