NPI | 1447263272 |
---|---|
Former Name | JOY ELLEN DREIBELBIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 286703) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 252364) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2021-05-18 |