| 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 |