NPI | 1619048238 |
---|---|
Former Name | MARINA N METELITSIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 206802) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 206802) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2022-06-08 |