NPI | 1023125515 |
---|---|
Former Name | JODI ERIN ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101258632) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 2010-00726) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 201000726) | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2024-04-15 |