NPI | 1619233657 |
---|---|
Former Name | THAYANNE CARMARGO DELIMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO186911) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME DO2781) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS14599) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 3072) | |
Enumeration Date | 2012-04-04 |
Last Update Date | 2019-02-28 |