| NPI | 1982845806 |
|---|---|
| Former Name | ERIN FEDAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 5101021183) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101021183) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 5101021183) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2015-07-24 |