NPI | 1821072174 |
---|---|
Former Name | ALICIA RUELAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA A77692) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A77692) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2020-06-03 |