| NPI | 1124136718 |
|---|---|
| Former Name | MARIA FE FIEL DETALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2007028405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036109260) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-02-14 |