NPI | 1225348592 |
---|---|
Former Name | CHRISTINA VIOLA ANAGICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: AK 108257) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD 60222547) |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD 60222547) | |
Enumeration Date | 2010-10-20 |
Last Update Date | 2017-05-11 |