NPI | 1235366600 |
---|---|
Former Name | CRYSTEN MARIE BRINKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 201300436) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 201300436) |
Enumeration Date | 2009-06-12 |
Last Update Date | 2016-07-18 |