NPI | 1003104027 |
---|---|
Other Name | LUCY ROCIO GALLEGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME121337) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT200219) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2014-09-18 |