| NPI | 1306053780 |
|---|---|
| Former Name | KATRINA FALAN LUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A106818) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-07-15 |