| NPI | 1407920705 |
|---|---|
| Former Name | MICHELLE KOMOSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G64300) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |