NPI | 1194081968 |
---|---|
Other Name | ANN MARIE DEADRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 25944) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV 390200000) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2022-04-08 |