NPI | 1699980060 |
---|---|
Former Name | BRANDY LYNNE COHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 20A9796) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A9796) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2008-07-24 |