| NPI | 1508997057 |
|---|---|
| Former Name | GRETCHEN ELIZABETH THIEMECKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A 9830) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-07-19 |