| NPI | 1386934339 |
|---|---|
| Former Name | ROSEANN DARLISSA FANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 60261067) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2014-01-25 |