NPI | 1043407083 |
---|---|
Former Name | DIWATA P VILLANUEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 26NJ00127000) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2007-10-03 |