NPI | 1891097663 |
---|---|
Former Name | SYLVIA LENIECE BUDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME133985) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: HI MD 15718) |
208D00000X General Practice (Licence: HI MD15718) | |
Enumeration Date | 2010-11-29 |
Last Update Date | 2019-07-25 |