NPI | 1407319650 |
---|---|
Other Name | OLGA LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 11912777-1205) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 11912777-1205) |
Enumeration Date | 2019-04-12 |
Last Update Date | 2024-03-06 |