| NPI | 1972035111 |
|---|---|
| Former Name | ELIZABETH KATHERINE MAXWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 74865-20) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-04-21 |