NPI | 1720314859 |
---|---|
Former Name | AMBER NEELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX M5079) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M5079) |
Enumeration Date | 2009-10-24 |
Last Update Date | 2020-06-01 |