| NPI | 1427178680 |
|---|---|
| Former Name | WANDA LEIGH MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A51704) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A051704) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-05-20 |