| NPI | 1316146988 |
|---|---|
| Former Name | JACLYN MAUREEN DRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.010195) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2022-01-05 |