NPI | 1104262062 |
---|---|
Former Name | MARIA DOLORES ABASCAL-PONCIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 308242) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN MD53849) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2019-01-30 |