| NPI | 1164614863 |
|---|---|
| Former Name | YAMILE ENID VIDAL SOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 57268) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN11118) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2012-05-31 |