| NPI | 1750624664 |
|---|---|
| Former Name | VIRGINIA ELAINE PEARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.146318) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD460260) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-01-14 |