| NPI | 1043691249 |
|---|---|
| Former Name | INDIRA FABIOLA GRADYS SOMARRIBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD046414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MTL003108) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-04-23 |