| NPI | 1154650117 |
|---|---|
| Former Name | PENELOPE PAREDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 34.011231) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ P12-00612) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2014-09-29 |