| NPI | 1629191754 |
|---|---|
| Former Name | MARY ELIZABETH BONGIOVI-GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 186104) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-05-29 |