NPI | 1700076627 |
---|---|
Former Name | DENISE VANESSA LITTLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME106811) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2015-02097) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-07-26 |
Last Update Date | 2022-03-08 |