NPI | 1942353230 |
---|---|
Former Name | GAYANI DESILVA REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A81916) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A81916) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2008-0822) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2017-03-27 |