NPI | 1730448507 |
---|---|
Former Name | KARINA ALEXANDRA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0064455) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301100322) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MI 4301100322) | |
Enumeration Date | 2012-05-14 |
Last Update Date | 2020-08-23 |