| NPI | 1700093424 |
|---|---|
| Former Name | DENISE DESCHENES LUSTICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: OH 35061611) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-09 |