| NPI | 1760425987 |
|---|---|
| Former Name | MARIA LOURDES AGUSTIN TIAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 188266) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-03-19 |