| NPI | 1780760603 |
|---|---|
| Former Name | CARMEN LUISA REANO GUERRERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M8450) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA55807) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-01-16 |