NPI | 1619288172 |
---|---|
Former Name | TARA ANN HOLSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A13609) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA 20A13609) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2024-04-25 |