NPI | 1366062242 |
---|---|
Other Name | VERONICA TREJO BLAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: UT 9999999) |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-04-21 |