NPI | 1205821576 |
---|---|
Former Name | BRIDGET L SCHANBACHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IA 29874) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2008-04-03 |