NPI | 1770541542 |
---|---|
Former Name | EILEEN DUGGAN KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO MDR7272) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 0414724) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2007-07-08 |