NPI | 1194354282 |
---|---|
Former Name | JULIANNE CARROLL PIZZOLATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2024026579) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-08-01 |