NPI | 1427080233 |
---|---|
Former Name | TRACI E IRWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 00357) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2003-00357) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2021-04-01 |