| NPI | 1841494531 |
|---|---|
| Former Name | MAYRA LYZETTE MUNIZ-ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35 069054) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-07-29 |