| NPI | 1114951076 |
|---|---|
| Professional Name | DIANE ELIZABETH PETTY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 53933) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |