NPI | 1467518100 |
---|---|
Former Name | MELISSA YAHAIRA QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N4011) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT187089) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2013-08-06 |