NPI | 1851574057 |
---|---|
Former Name | ANDREA HAYDEN LANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 85103) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 29544) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY R0957) | |
Enumeration Date | 2007-12-11 |
Last Update Date | 2021-01-11 |