| 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 |