| NPI | 1962881128 |
|---|---|
| Other Name | MYRA L MATHIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 304885) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 304885) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-07-03 |