NPI | 1508031543 |
---|---|
Former Name | OLGA SANFORD KERECHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 123463) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 6914) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0435265) | |
Enumeration Date | 2008-04-29 |
Last Update Date | 2022-06-30 |