NPI | 1134568652 |
---|---|
Former Name | JILL SPERLAZZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CO DR0058287) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R74131) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2017-06-16 |