NPI | 1538593165 |
---|---|
Former Name | SANDRA LETICIA GALLARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: AZ R72796) |
Enumeration Date | 2013-08-30 |
Last Update Date | 2024-05-28 |