NPI | 1467943274 |
---|---|
Former Name | KAITLYN JO BRAUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY 59768) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301114951) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2024-07-22 |