| NPI | 1497796148 |
|---|---|
| Former Name | GRETCHEN L DIKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301075696) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 270925) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-03-21 |