NPI | 1114186509 |
---|---|
Former Name | ALICIA R CZANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 247022) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: NY 247022) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2014-05-21 |