NPI | 1659733350 |
---|---|
Former Name | KATHRYN LOUISE EISENHUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 11205474-1205) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.068283) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2019-06-10 |