| NPI | 1093760993 |
|---|---|
| Former Name | MYRA LYNN MCSWAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD464352) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 42163) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO 42163) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-09-26 |