NPI | 1114278363 |
---|---|
Former Name | LISA KATHARYN MILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 121006) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 191442) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2022-07-21 |