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 |