NPI | 1376040089 |
---|---|
Former Name | ALLISON NOEL BRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.158934) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 74105-21) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2023-08-11 |