| NPI | 1689710618 |
|---|---|
| Former Name | CORAZON FERNANDEZ ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A53480) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-06-11 |