NPI | 1164620845 |
---|---|
Former Name | CARA MARIE RUCCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME100952) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 272965) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 150271) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD461480) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 046070) | |
Enumeration Date | 2007-07-05 |
Last Update Date | 2020-12-08 |