NPI | 1861502361 |
---|---|
Former Name | BROOKE KAULANI GERTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD151387) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD 60001443) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2013-09-16 |