NPI | 1417050576 |
---|---|
Former Name | DOROTHY W FOWLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC SC14484) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC SC14484) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2013-01-10 |