NPI | 1154776078 |
---|---|
Former Name | MARY GAY JOSEPHIN GAURANO CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0066233) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO DR.0066233) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-28 |
Last Update Date | 2021-09-22 |