| NPI | 1700324738 |
|---|---|
| Former Name | SARA JANE BUBENIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-48576) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-48576) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-07-31 |