NPI | 1568405017 |
---|---|
Former Name | KRISTA N BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 30575) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 36703) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2010-12-01 |