NPI | 1821447285 |
---|---|
Former Name | CHERIECE WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-147786) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.068712) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2024-01-09 |