| NPI | 1376033779 |
|---|---|
| Former Name | LAURA MARCELA ADRIANZEN FLOREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX V0394) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101278966) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 325225) | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2024-04-19 |