NPI | 1861468738 |
---|---|
Other Name | SUSAN SPARKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX E4695) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX E4695) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX E4695) | |
Enumeration Date | 2006-02-28 |
Last Update Date | 2019-03-06 |