NPI | 1033525563 |
---|---|
Former Name | YARELIS SOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A156334) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TRN20166) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2021-10-29 |