| NPI | 1023111606 |
|---|---|
| Former Name | CHARLOTTE MARIE BALCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND 10156) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO MDR3657) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |