NPI | 1851490791 |
---|---|
Former Name | TANYA ROYSTER ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036099521) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2014-11-18 |