NPI | 1457627358 |
---|---|
Former Name | CAROLINE CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME118883) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM MD2023-1653) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2024-03-11 |