NPI | 1730475740 |
---|---|
Former Name | BRANDI S VILLARREAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 74693) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: GA 74693) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2024-05-22 |