NPI | 1750878039 |
---|---|
Former Name | AMBER NICHOLE USRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 55824) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 55824) |
Enumeration Date | 2018-04-22 |
Last Update Date | 2023-08-24 |