NPI | 1710093174 |
---|---|
Former Name | JODI F LEVERONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NH 14086) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 14086) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2020-11-18 |