NPI | 1457771107 |
---|---|
Former Name | CHERISSE ANTOINETTE BENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A140158) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2018-12-17 |