| NPI | 1437320975 |
|---|---|
| Former Name | SUSANNA LEIGH SWILLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TN 43382) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |