| 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 |