NPI | 1679987572 |
---|---|
Former Name | KERRI LYNNE GRAMLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301104863) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301104863) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2020-07-01 |