| NPI | 1720344096 |
|---|---|
| Former Name | MADELYN PEREZ AYALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 53017) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 14166) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2019-01-11 |