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 |