NPI | 1982058731 |
---|---|
Former Name | JENNIFER BURBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: TN 59930) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 59930) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2023-01-06 |