| NPI | 1497768998 |
|---|---|
| Former Name | LAURETTA LEE RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR OR MD 12868) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |