NPI | 1780927350 |
---|---|
Former Name | SARA ELIZABETH PUENING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A167747) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0055753) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2024-11-15 |