| NPI | 1215462874 |
|---|---|
| Former Name | ESTEVANA JUANITA ISAAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: PA MD472846) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2025-10-03 |