| NPI | 1316146988 |
|---|---|
| Former Name | JACLYN MAUREEN DRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 34.010195) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.010195) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OH 34.010195) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2024-08-02 |