NPI | 1811127475 |
---|---|
Former Name | CHRISTA O'HANA VILLANUEVA SAN LUIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TN 63111) |
Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MS 23696) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 23696) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 63111) | |
Enumeration Date | 2009-07-16 |
Last Update Date | 2021-07-01 |