| NPI | 1447713854 |
|---|---|
| Former Name | DEANNE NICOLE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A180200) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-08-16 |