| NPI | 1831453273 |
|---|---|
| Former Name | INGRID WILSECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 5101019899) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019899) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-04-29 |