NPI | 1457811895 |
---|---|
Former Name | BETHANY AAREN DERFLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.016599) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 331204) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-10-28 |