| NPI | 1538553193 |
|---|---|
| Former Name | AMANDA GUADALUPE SANDOVAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 12788781-1205) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: PA MT220345) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2023-07-13 |