| NPI | 1619169984 |
|---|---|
| Former Name | CAROLINA BONILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A104077) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT191785) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P6952) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-05-01 |