| NPI | 1528265790 |
|---|---|
| Former Name | MATILDE NUMENZC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 9202) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 009202) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2015-03-18 |