| NPI | 1609195387 |
|---|---|
| Former Name | STACEY HAUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD454665) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME117544) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2015-08-18 |