NPI | 1780905414 |
---|---|
Former Name | ASHLEY LYNDEN POELMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME151336) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT202267) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD447141) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC MD32768) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10585400) | |
Enumeration Date | 2010-06-16 |
Last Update Date | 2021-10-20 |