NPI | 1063663359 |
---|---|
Other Name | RICCA DIMALIBOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M9975) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A98250) |
Enumeration Date | 2008-10-05 |
Last Update Date | 2017-01-02 |