NPI | 1699351411 |
---|---|
Former Name | STEPHANIE NICOLE PUGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036173650) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2025-03-03 |