| 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 |