NPI | 1255548558 |
---|---|
Former Name | MARCIA VICTORIA MCCANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01064161A) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 11012047A) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2021-01-22 |