NPI | 1912467028 |
---|---|
Former Name | VANESSA DANG NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 67781) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 29976) |
Enumeration Date | 2019-03-24 |
Last Update Date | 2024-01-05 |