| 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 |