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 |