NPI | 1093897555 |
---|---|
Former Name | VIVIANA CAROLINA ROJAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME167911) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M4783) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2025-07-30 |