NPI | 1790121168 |
---|---|
Former Name | KATIE R GRELINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-39925) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-39925) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2021-04-13 |