NPI | 1073877221 |
---|---|
Former Name | INES DEMOYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101258895) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT202732) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2023-03-03 |