| NPI | 1568875607 |
|---|---|
| Former Name | THERSILLA WITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PA MD463132) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MI 5315066465) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301105911) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-07-11 |