NPI | 1730400375 |
---|---|
Former Name | BIANCA BARADI CABRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 147124) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 56225-020) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2022-07-21 |