NPI | 1205846128 |
---|---|
Former Name | C. DESIREE F OLIVEROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.112400) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-112400) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2011-03-01 |