| NPI | 1710390851 |
|---|---|
| Former Name | MARIA C PROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MA 269371) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 269371) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-12-18 |