NPI | 1851357347 |
---|---|
Former Name | BARBARA POR SRUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME0053423) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2012-10-16 |