| NPI | 1831127992 |
|---|---|
| Former Name | NELIA MENDOZA SAN JOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101245684) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MDO67980L) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-04-14 |