NPI | 1689855298 |
---|---|
Former Name | LEAH ANNE FENNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2013-00299) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me92381) |
Enumeration Date | 2007-11-26 |
Last Update Date | 2016-12-29 |