NPI | 1376969824 |
---|---|
Former Name | VICTORIA ISABEL MARROQUIN DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 18660) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A138187) |
Enumeration Date | 2014-03-07 |
Last Update Date | 2021-03-18 |