| 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 |