NPI | 1295356202 |
---|---|
Former Name | ELLI MARIE HOGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U9816) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-30 |
Last Update Date | 2025-01-30 |