NPI | 1912985128 |
---|---|
Former Name | DEBORAH SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 27292) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0426158) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2017-01-20 |