| NPI | 1639512197 |
|---|---|
| Former Name | STEFFANY R BAGNOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01090163A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 124527) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2023-12-29 |