NPI | 1093163156 |
---|---|
Former Name | DANIELLE BREWINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD473868) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA MD473868) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2022-03-10 |