| NPI | 1114293115 |
|---|---|
| Former Name | KAITLIN JOHANNA REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NJ 25MA11047500) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 273661) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11047500) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 273661) | |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2022-10-13 |