NPI | 1508043274 |
---|---|
Former Name | JEANIE LYNN HOSKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 03682) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34010264) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2023-09-21 |