NPI | 1093020414 |
---|---|
Former Name | ALISA TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME112736) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0227) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2014-08-28 |