NPI | 1982075826 |
---|---|
Former Name | ELIZABETH HUDSON MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS13100) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL os13100) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2022-03-09 |