NPI | 1205889508 |
---|---|
Former Name | VIVIAN L. MERCADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 39360) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD39360) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2018-03-17 |