| NPI | 1073638649 |
|---|---|
| Former Name | CARMEN P. MAYUGBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 6379) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 07736R) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-06-11 |