NPI | 1962061804 |
---|---|
Former Name | CORI CUMMINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 13289385-1205) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 176609) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2023-08-23 |