NPI | 1801882436 |
---|---|
Former Name | ALLISON L BERTNESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 57144) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 35487) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2021-05-24 |