NPI | 1861426991 |
---|---|
Former Name | ELIZABETH CAUDILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 29693) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2022-04-18 |