| NPI | 1386835106 |
|---|---|
| Former Name | KATHERINE CHEMODUROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A116071) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 43926) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 30101) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2017-08-16 |