| NPI | 1649584301 |
|---|---|
| Former Name | ELIZABETH ANNE PEEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL 117411) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2010018498) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2016-05-05 |