| NPI | 1427009521 |
|---|---|
| Former Name | VIVIAN JOSEPHINE CLOUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD073033L) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA BF7510212) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME128751) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2021-03-01 |