NPI | 1588975585 |
---|---|
Former Name | JESSICA LYNN MCALISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0054840) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP02054) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2021-06-21 |