NPI | 1588654552 |
---|---|
Former Name | ABIGAIL DOROTHY MALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 010572) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036094784) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02003244A) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 3840) | |
Enumeration Date | 2005-10-21 |
Last Update Date | 2023-07-25 |