NPI | 1124482484 |
---|---|
Former Name | GRACE NABILA MARTINEZ PENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 307883-01) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 307883-01) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 307883-01) | |
Enumeration Date | 2016-04-12 |
Last Update Date | 2024-07-24 |