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 |