NPI | 1003077355 |
---|---|
Former Name | ANGELA JILL ESCOBAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX P8618) |
Additional Taxonomies | 208600000X Surgery (Licence: IA R-8415) |
208600000X Surgery (Licence: TX P8618) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2022-08-24 |