| NPI | 1174620272 |
|---|---|
| Former Name | MIRIAM SUZANNE HUACO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 281405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 281405) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 281405) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-01-17 |