| NPI | 1568655306 |
|---|---|
| Former Name | TARA MARIE PUNDIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C130519) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD187465) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NV 18791) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DE C1-0010473) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI 15585) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 234647) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2021-03-17 |