NPI | 1023266673 |
---|---|
Former Name | TARA MARIE ROMASANTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 26455) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 26455) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2013-09-16 |