NPI | 1215190749 |
---|---|
Former Name | JESSICA YBARRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: AZ 46095) |
Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA A115734) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2016-01-11 |