NPI | 1891895447 |
---|---|
Former Name | THERESA LYNETTE HOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M5978) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX BP10011816) |
Enumeration Date | 2006-09-24 |
Last Update Date | 2022-03-03 |