NPI | 1770613259 |
---|---|
Former Name | MONICA TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 65294) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 37311) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2021-12-21 |