| 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 |