| NPI | 1588221253 |
|---|---|
| Former Name | DEBORAH KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 74599-20) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 74599-20) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2024-11-25 |