NPI | 1225356165 |
---|---|
Former Name | NICOLE GUANCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA09754800) |
Enumeration Date | 2010-05-16 |
Last Update Date | 2020-11-20 |