NPI | 1710277017 |
---|---|
Former Name | ELIZABETH EVE GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME129579) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME129579) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2016-10-21 |