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 |