NPI | 1013395367 |
---|---|
Former Name | BERTA LEISY CERRO GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-07 |
Last Update Date | 2020-05-10 |