NPI | 1740334176 |
---|---|
Other Name | MICHELLE CHRISTINE TUCZAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301070573) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2011-12-12 |