| NPI | 1811901689 |
|---|---|
| Former Name | MARILOU B. PATALINJUG TYNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 0842) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 21257) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-04-01 |