NPI | 1316199516 |
---|---|
Former Name | VANESA L PADILLA DAVILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME112707) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME112707) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 17933) | |
Enumeration Date | 2008-10-21 |
Last Update Date | 2013-06-10 |