NPI | 1558448241 |
---|---|
Former Name | MARIA LUISA FRANCISCO FAJARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA RN498850) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |