NPI | 1801865514 |
---|---|
Former Name | JEANETTE KAREN PUESCHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 200701520) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101270991) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 27215) | |
Enumeration Date | 2006-03-15 |
Last Update Date | 2023-03-13 |