NPI | 1386698231 |
---|---|
Former Name | WENDY LIANA RENATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 57511) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 64010) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301075774) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 29113) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 30685) | |
Enumeration Date | 2006-05-22 |
Last Update Date | 2024-11-20 |