NPI | 1376731687 |
---|---|
Former Name | PATRICIA DIAZ TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 45497) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 572) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2023-01-27 |