| NPI | 1649665415 |
|---|---|
| Former Name | NATALIE RONCALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD468838) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0062994) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-04-25 |