| NPI | 1134292014 |
|---|---|
| Former Name | JANICE ANNETTE MCKEOWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A40698) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA A40698) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A40698) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-08-05 |