NPI | 1861921041 |
---|---|
Former Name | HEIDI JUEL SEUBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301504855) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301112322) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351032953) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2022-11-22 |