| NPI | 1205369253 |
|---|---|
| Former Name | IVANIA TRINIDAD ROMERO VANEGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 83836) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-07-22 |