NPI | 1457499113 |
---|---|
Former Name | KATHLEEN ANNE HUBBARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-13099) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A95835) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2025-03-13 |