NPI | 1457676298 |
---|---|
Former Name | KALA JORDAN LAMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P8848) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-04-05 |
Last Update Date | 2016-11-17 |