| NPI | 1770553695 |
|---|---|
| Former Name | KISHA DENISE JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SC 88447) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2012-01843) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 054400) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-08-19 |