NPI | 1659322527 |
---|---|
Former Name | PEGGY LOUISE HASSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 15879) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 31544) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2007-07-08 |