NPI | 1043772734 |
---|---|
Former Name | JACQUELINE ELIZABETH SUMMERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A180448) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2025-04-29 |