NPI | 1902367261 |
---|---|
Former Name | KATIE-JOY FRANCES DYER ZIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME DO3566) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: ME DO3566) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME DO3566) | |
Enumeration Date | 2019-03-28 |
Last Update Date | 2025-06-04 |