NPI | 1801054325 |
---|---|
Former Name | JESSICA FERNANDA HERRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-20030) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D74240) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2021-06-02 |