NPI | 1346804598 |
---|---|
Former Name | MICHELLE DAWN LINKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 68353) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 30264) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2024-08-26 |