| NPI | 1073994141 |
|---|---|
| Former Name | MIA BLACCONIERE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 16849) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036145092) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-08-04 |