NPI | 1467584920 |
---|---|
Former Name | AEVA GAYMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0067280) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD040048) |
Enumeration Date | 2007-03-11 |
Last Update Date | 2016-03-14 |