| NPI | 1922134634 |
|---|---|
| Former Name | PHYLLIS GOLDA GRABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 231298) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MA 231298) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-07-21 |