NPI | 1922293281 |
---|---|
Former Name | BROOKE HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A99452) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A99452) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2019-11-20 |