| NPI | 1235525973 |
|---|---|
| Former Name | KATRINA NOEL KOCLANES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 66562 - 20) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2021-02-03 |