| NPI | 1003188152 |
|---|---|
| Former Name | YESENIA OCHOA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: GA AT001439) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: GA LPN076548) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |