| NPI | 1720574411 |
|---|---|
| Former Name | MAILYN SANTANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME151456) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN26230) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-04-24 |