NPI | 1811423619 |
---|---|
Former Name | SARAH VAN LIEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A181679) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 59702) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-11-09 |