NPI | 1689086316 |
---|---|
Former Name | VANESSA EVA STETSON RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 92843) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI DOS-1726) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T9219) | |
Enumeration Date | 2014-05-29 |
Last Update Date | 2024-04-03 |