NPI | 1164634127 |
---|---|
Other Name | YOLANDA TSO BACA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2007-0303) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94447) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2014-07-09 |