| NPI | 1700521382 |
|---|---|
| Former Name | CAROL FOOTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R79432) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 14275545-1205) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2026-04-14 |