| NPI | 1225336399 |
|---|---|
| Other Name | DIANE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-085290) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IL 036-085290) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |