NPI | 1417052234 |
---|---|
Former Name | EVE ARIEL SAMUELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 39004) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101241756) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0062608) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-10-29 |