NPI | 1497012892 |
---|---|
Former Name | CARMEN D GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301105223) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105223) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2018-08-20 |