NPI | 1104188648 |
---|---|
Former Name | ALICIA SALAMONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: TX R3573) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX R3573) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10043470) | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2018-03-17 |