NPI | 1669637724 |
---|---|
Former Name | BRITTANY C CERANKOSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34.011618) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 58.005205) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS15258) | |
Enumeration Date | 2008-07-28 |
Last Update Date | 2024-02-13 |