NPI | 1194987073 |
---|---|
Former Name | MICHELLE L. GARDECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2017-00281) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD444151) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2017-00281) | |
Enumeration Date | 2008-07-01 |
Last Update Date | 2023-03-28 |