NPI | 1598392086 |
---|---|
Former Name | KELLY ELIZABETH SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 69347) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2025-05-14 |