NPI | 1154414795 |
---|---|
Former Name | CECILIA GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 20464) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A52437) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-11-11 |