| NPI | 1235645649 |
|---|---|
| Professional Name | FERDINAND ESTEBAN LARA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 474827-1) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |