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 |