NPI | 1457858920 |
---|---|
Former Name | ALEXANDRIA KRISTINE ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0068917) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 008530) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2022-09-08 |