| NPI | 1477856631 |
|---|---|
| Former Name | MARESA LUGO MONTALVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101249381) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME141199) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2019-12-04 |