NPI | 1134121064 |
---|---|
Former Name | FABIOLA BALAREZO DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CT 037679) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2016-12-09 |