NPI | 1639149123 |
---|---|
Former Name | DEBORAH M O'DONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB06898100) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MB06898100) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2015-06-12 |