| NPI | 1144724238 |
|---|---|
| Former Name | ANGELA MARIE HAKENEWERTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023037560) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2023-10-09 |