NPI | 1316394398 |
---|---|
Former Name | HALEY KATHOL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 85262) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018683A) |
Enumeration Date | 2016-05-19 |
Last Update Date | 2021-09-28 |