NPI | 1508906421 |
---|---|
Other Name | BROOKE ALLISON GOLDNER TADLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A94022) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2011-02-18 |