NPI | 1154649234 |
---|---|
Former Name | MICHELLE CHRISTINE MERGENTHAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10594200) |
Enumeration Date | 2010-05-13 |
Last Update Date | 2022-12-15 |