| NPI | 1689833683 |
|---|---|
| Former Name | CHERISE L RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: GA 061512) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2010-09-27 |