NPI | 1699060640 |
---|---|
Former Name | KAREN DIANNE ORJUELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036174130) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0057676) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2025-05-14 |