| NPI | 1588076715 |
|---|---|
| Former Name | AMANDA ELIZABETH RAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 274736) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME DO2666) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-06-18 |