NPI | 1396987939 |
---|---|
Former Name | SARAH ELISE KUYKENDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 51060) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CO 51060) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2017-02-27 |