| NPI | 1346348562 |
|---|---|
| Former Name | ROSEMARIE DACOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 076765) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60128013) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-12-13 |