| NPI | 1407111461 |
|---|---|
| Former Name | THERESA GALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS15069) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101023712) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020005555) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 25733) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TM00771) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A12490) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2015-02019) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS019683) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO190968) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 293822-1) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.013178) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND 15244) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19093) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-09-29 |