NPI | 1104035849 |
---|---|
Former Name | LOIDA CRUZ RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: PR 4345) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |