NPI | 1417154113 |
---|---|
Former Name | TAAS NAKA WORLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA OP60463152) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101017375) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2015-04-02 |