NPI | 1053844696 |
---|---|
Former Name | NATHALIE M MIRABENT GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME174411) |
Additional Taxonomies | 106S00000X Behavior Technician |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2025-05-29 |