| NPI | 1407821127 |
|---|---|
| Former Name | CARRIE LISA ZINAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 239855-1) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 221134) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-03-26 |