NPI | 1710369848 |
---|---|
Former Name | KENDRA KADERKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX S6945) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 264658) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2024-09-03 |