NPI | 1598184798 |
---|---|
Former Name | GINA PAPKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME134290) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301105450) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2020-10-13 |