| NPI | 1861636771 |
|---|---|
| Other Name | CAROL VIDAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MD D72464) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D72464) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2016-03-03 |