NPI | 1639344989 |
---|---|
Former Name | MELISSA D MAITLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 62700) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 64141) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2023-05-10 |