| NPI | 1164978136 |
|---|---|
| Former Name | ERIN CHRISTINE GROENEWOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 32072) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 7844) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2020-09-18 |