NPI | 1619453040 |
---|---|
Former Name | STEPHANIE ANN SAVALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 8352) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036167028) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2024-10-01 |