NPI | 1174798128 |
---|---|
Former Name | VIVIAN VALVERDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME110840) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2011-0229) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2018-04-05 |