| NPI | 1588935688 |
|---|---|
| Former Name | AMETHYST KATHLEEN WEESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 202000039) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2020-09-16 |