| NPI | 1235166364 |
|---|---|
| Former Name | MICHELLE MARIE WARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 18507) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-11-13 |