NPI | 1174910566 |
---|---|
Former Name | REGINA MARIE MELENDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2020-02240) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 57075) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2020-08-06 |