| NPI | 1689776361 |
|---|---|
| Former Name | WENDY ANN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 13551) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 256591) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2023-07-27 |