| NPI | 1497741052 |
|---|---|
| Former Name | KATHERINE ANN POMAVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301054438) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2008-01-30 |