NPI | 1528115920 |
---|---|
Former Name | LAURA A NOVOTNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NE 17846) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2018-10-04 |