NPI | 1427382571 |
---|---|
Former Name | SARA BETH DILGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX K5284) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2005029293) |
Enumeration Date | 2009-09-22 |
Last Update Date | 2009-09-22 |