NPI | 1952519993 |
---|---|
Former Name | SANDRA DEWI ABRAMOFF MOEHADJIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 38470) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2019-01-22 |