| NPI | 1326243676 |
|---|---|
| Former Name | LEAH GWENDOLYN FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CO dr49681) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: IN 01065881A) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-01-17 |